Organization
PONGRATZ ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE INMAN (OPERATIONS MANAGER)
(602) 222-3032
Entity
Organization
Contact information
Practice address
13020 W RANCHO SANTA FE BLVD STE 101, AVONDALE, AZ 85392-2002
(623) 444-8801
(623) 455-3776
Mailing address
730 N 52ND ST STE 100, PHOENIX, AZ 85008-7987
(602) 222-3032
(602) 222-3506
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
07687929
AZ
Other
Enumeration date
06/08/2015
Last updated
08/06/2021
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